NPI 1104003987
Randolph Medical Associates
Practice location
- Address
- 965 US Hwy 431, Roanoke, AL 36274
- Phone
- (334) 863-2150
- Fax
- (334) 863-8733
- Mailing address
- PO Box 625, Roanoke, AL 36274-0625
Authorised official
- Name
- Russell Doak Peterson
- Title
- Owner
- Phone
- (334) 863-2150
Registered specialties
Sonography Specialist/Technologist Cardiovascular
Primary
Registry record
- NPI
- 1104003987
- Entity type
- Organization
- NPI issued
- 24 Jan 2008
- Record last updated
- 24 Jan 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.